| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
236 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
123 |
93 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
123 |
93 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
107 |
80 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
54 |
46 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99459 |
|
52 |
51 |
$760.24 |
| 86780 |
|
54 |
46 |
$703.71 |
| 86803 |
|
40 |
32 |
$558.67 |
| 96127 |
|
39 |
38 |
$554.80 |
| 87340 |
|
40 |
32 |
$406.44 |
| 81025 |
|
38 |
37 |
$220.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
30 |
$166.46 |